A mother brings her 2-year-old child to the pediatrician’s office, voicing concerns about her toddler’s growth over the last year. According to the child’s records, the toddler has gained 6 pounds (2.7 kg) and grown 2.5 inches (6.4 cm) since the child’s last visit a year ago. How should the nurse respond to this mother’s concerns?

Ask the mother if there are other small people in her family.

Tell her that her child’s growth is less than expected and gather a nutritional history on the child.

Tell the mother that she needs to return to the pediatrician’s office in 3 months to re-weigh the child and measure his height for any changes.

Inform the mother that her toddler’s growth is within normal limits and there is nothing to be worried about.

Answer and Explanation

The Correct Answer is D

Choice A reason: Asking about family size is irrelevant, as growth norms are based on population standards, not family stature. The toddler’s 6-pound gain and 2.5-inch growth are normal for a 2-year-old, making this unhelpful and incorrect compared to reassuring based on standard growth parameters for toddlers.

Choice B reason: The child’s growth (6 pounds, 2.5 inches) is within normal limits for a 2-year-old, so stating it is less than expected is inaccurate. Gathering nutritional history is unnecessary without growth concerns, making this incorrect compared to reassuring the mother about normal development in her child.

Choice C reason: Requiring a follow-up in 3 months is unnecessary, as the toddler’s growth is normal (6 pounds, 2.5 inches in a year). Reassuring the mother addresses her concerns directly, avoiding unwarranted visits, making this incorrect for responding to a toddler with standard growth patterns.

Choice D reason: A 6-pound (2.7 kg) weight gain and 2.5-inch (6.4 cm) height increase are within normal limits for a 2-year-old, per pediatric growth charts. Reassuring the mother alleviates anxiety and aligns with evidence-based growth standards, making this the correct response to her concerns about growth.

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Correct Answer is B

Explanation

Choice A reason: Stating that older men will die without exams exaggerates the risk, as testicular cancer is rare in the elderly and treatable. Awareness at age 15 is more relevant, making this inaccurate and incorrect for indicating a successful understanding of self-exam importance in the session.

Choice B reason: Recognizing that testicular cancer can affect teens (peak incidence in young males) shows understanding of personal risk at age 15. This aligns with health education goals for testicular self-exams, making it the correct comment indicating a successful session outcome for the high school boys.

Choice C reason: Mentioning a family history is relevant but does not show understanding of the need for self-exams at a young age. Awareness of personal risk at 15 is more direct, making this less indicative and incorrect for session success in teaching testicular self-examination.

Choice D reason: Delaying self-exams to the 20s underestimates the risk in teens, where testicular cancer incidence peaks. Recognizing risk at 15 reflects better comprehension, making this incorrect, as it misaligns with the urgency of early self-exam education for the high school students.

A. Calories from protein. B. Saturated fat. C. Iodized salt. D. Pancreatic enzymes.

Correct Answer is D

Explanation

Choice A reason: Increasing protein calories doesn’t address malabsorption causing constipation and diarrhea in cystic fibrosis. Pancreatic enzymes improve nutrient absorption, making this irrelevant and incorrect compared to the need to correct digestive issues due to enzyme deficiency in the child’s dietary management.

Choice B reason: Saturated fat doesn’t resolve malabsorption-related constipation and diarrhea in cystic fibrosis and may worsen symptoms. Pancreatic enzymes correct enzyme deficiency, making this inappropriate and incorrect compared to the dietary adjustment needed to manage the child’s gastrointestinal symptoms effectively.

Choice C reason: Iodized salt supports hydration in cystic fibrosis but doesn’t address malabsorption causing diarrhea and constipation. Pancreatic enzymes target digestive issues, making this incorrect, as it fails to correct the underlying enzyme deficiency responsible for the child’s gastrointestinal symptoms.

Choice D reason: Pancreatic enzymes improve fat and nutrient absorption in cystic fibrosis, reducing constipation and diarrhea due to malabsorption. This aligns with pediatric cystic fibrosis management, making it the correct substance to increase in the child’s diet to address the reported gastrointestinal symptoms.

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Naxlex Comprehensive Predictor Exams

The nurse is meeting with a group of high school boys to discuss various health topics. After the session on testicular self-exam, the nurse determines the session is successful when one of the students responds with which comment?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

The nurse is presenting a post-conference seminar to a group of nursing students on the topic of suctioning of a child. Which statement made by a student demonstrates a need for further instruction on this procedure?

The nurse is caring for a group of children on the pediatric unit. The nurse should collect further data and explore the possibility of child abuse (child mistreatment) in which situation?

A first-time mother calls the pediatrician’s office to ask the nurse about her baby’s tooth eruption. The baby is 8 months old and still does not have any teeth. What information can the nurse share with this mother that would correctly respond to her anxiety about her baby’s dentition?

The school nurse is presenting information to a group of high school students who are asking about vegetarian diets. The nurse determines that the group needs more information when they identify which foods as being included in a vegan diet?

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with Kwashiorkor. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of Kwashiorkor?

The nurse has an order to administer a rectal suppository to a 3-month-old child. In addition to lubricating the suppository, which intervention will help assure appropriate administration of the medication?

The caregiver of an infant keeps removing the pulse oximetry sensor claiming it’s too tight on the baby. Which response should the nurse prioritize in addressing this situation?